| Pittsburg Family Healthcare, Pc | |
|
6980 S M 52 Owosso MI 48867-9515 | |
| (989) 729-7779 | |
| (989) 729-7313 |
| Full Name | Pittsburg Family Healthcare, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6980 S M 52, Owosso, Michigan |
| Authorized Official Name and Position | Kimberly Gale King (MANAGER/BILLER) |
| Authorized Official Contact | 9897299766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pittsburg Family Healthcare, Pc Po Box 519 Laingsburg MI 48848-0519 Ph: (989) 729-7779 | Pittsburg Family Healthcare, Pc 6980 S M 52 Owosso MI 48867-9515 Ph: (989) 729-7779 |
| NPI Number | 1811177827 |
|---|---|
| Provider Enumeration Date | 11/07/2007 |
| Last Update Date | 11/07/2007 |
| Medicare PECOS PAC ID | 4385724947 |
|---|---|
| Medicare Enrollment ID | O20080108000778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811177827 | NPI | - | NPPES |
| 4472180 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101011045 (Michigan) | Primary |
| Provider Name | John R Behm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528012366 PECOS PAC ID: 8820065766 Enrollment ID: I20040910001257 |
| Provider Name | Tetyana Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174157556 PECOS PAC ID: 5496169971 Enrollment ID: I20210125000262 |
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